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BLD2020-1316_Application_12.3.2020_7.57.29_AMCITY OF EDMONDS MyBuildingPermit.com Electrical Application #892588 - Garrard PV Applicant First Name Last Name Company Name Lyudmila Arseniy Puget Sound Solar Number Street Apartment or Suite Number E-mail Address 5308 Baker Ave NW larseniy@pugetsoundsolar.com City State Zip Phone Number Extension SEATTLE WA 98107 2066193818 Contractor Company Name Puget Sound Solar LLC Number Street Apartment or Suite Number 5308 Baker Ave NW City State Zip Phone Number Extension Seattle WA 98107 (206) 706-1931 State License Number License Expiration Date UBI # E-mail Address PUGETSS920RH 12/8/2022 ri(».iR4514 info@pugetsoundsolar.com Project Location Number Street Floor Number Suite or Room Number 20228 87TH AVE W City Zip Code County Parcel Number EDMONDS 98026 00572400001100 Associated Building Permit Number Tenant Name Additional Information (i.e. equipment location or special instructions)_ Work Location Property Owner First Name Last Name or Company Name Thomas Garrard Number Street Apartment or Suite Number 20228 87TH AVE W City State Zip EDMONDS WA 98026-6618 Certification Statement - The applicant states: I certify that I am the owner of this property or the owner's authorized agent. If acting as an authorized agent, I further certify that I have full power and authority to file this application and to perform, on behalf of the owner, all acts required to enable the jurisdiction to process and review such application. I have furnished true and correct information. I will comply with all provisions of law and ordinance governing this type of application. If the scope of work requires a licensed contractor to perform the work, the information will be provided prior to permit issuance. Date Submitted: 12/3/2020 Submitted By: Lyudmila Arseniy Page 1 of 2 CITY OF EDMONDS MyBuildingPermit.com Electrical Application #892588 - Garrard PV Project Contact Company Name: Puget Sound Solar Name: Lyudmila Arseniy Email: larseniy@pugetsoundsolar.com Address: 5308 Baker Ave NW Phone #: 2066193818 SEATTLE WA 98107 Project Type Activity Type Scope of Work Single Family Residential Alteration Photo -Voltaic Project Name: Garrard PV Description of Work: Installation of rooftop Solar Photovoltaic System consisting of (36) Silfab 330W b/b & (36) Enphase IQ7+ micros with LST and (1) HCS-40 EV charger Project Details Alternate Power Source Solar Photovoltaic System 1 Page 2 of 2